Mastectomie avec reconstruction mammaire immédiate : indications et techniques, algorithme de décision d’une reconstruction immédiate
| Autor: | Nicolas Leymarie, S. Struk, A. Conversano, Suzette Delaloge, Sofia Rivera, Françoise Rimareix, J.-B. Schaff, Frédéric Kolb, Heba Alkhashnam, Chafika Mazouni, K. Tran De Frémicourt, Benjamin Sarfati, Y. Bennis, Jean-François Honart |
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| Rok vydání: | 2018 |
| Předmět: |
Adjuvant radiotherapy
business.industry Nipple areola complex medicine.medical_treatment Pedicled Flap 030230 surgery Multidisciplinary team 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Medicine Surgery Implant business Breast reconstruction Algorithm Perforator flaps Mastectomy |
| Zdroj: | Annales de Chirurgie Plastique Esthétique. 63:542-544 |
| ISSN: | 0294-1260 |
| Popis: | Immediate breast reconstruction indications extend to infiltrating carcinomas, due to new matrix implant coverage techniques and the development of perforator flaps. These techniques allow adjuvant treatments. However, the decision of immediate reconstruction must be discussed with the oncological multidisciplinary team and the benefits/risks must also be evaluated in relation to the morphology of the patients and their co-morbidities. The chosen type of mastectomy: conventional or skin sparing and/or nipple sparing depends on the shape and volume of the breast, the localization of the tumor in the breast and the distance from the nipple areola complex (NAC). We describe an algorithm to allow, in the case of therapeutic mastectomy with or without adjuvant radiotherapy, an immediate reconstruction with implants or free or pedicled flaps. |
| Databáze: | OpenAIRE |
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